Abstract

In this edition of the Journal, Jorge Lowenstein et al. indicate the possible way to third generation stress echocardiography. (1) The authors used three tools together during the realization of the unique stress echo with dipyridamole potentiated with atropine to evaluate three different objectives: the bidimensional echocardiogram (2D echo) for the semiquantitative evaluation of the regional wall motion analysis, supported by the habitual practice, and at the same time qualitative and subjective, colour pulsed Doppler for the evaluation of the coronary reserve in the anterior descending artery (ADA) and the strain 2D for the expected quantitative evaluation of the left ventricle longitudinal function. All this in only one imaging test which is fast, safe, free of radiations, objective and inexpensive and with high diagnostic precision.

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